Facility Evaluation Report
On 9/20/2024 Licensing Program Analysts (LPAs) Simi Rai and Marcela Yanez, conducted an unannounced Annual Continuation inspection from 9/13/2024. LPAs met with Executive Director (ED) Tina Bagheri Tayabeh and stated the purpose of today's visit.
During today's visit, LPAs reviewed 10 resident files and 5 at random resident centrally stored medication files and resident medications.
During inspection on 9/13/2024, in resident room #1, LPAs observed 3 over-the-counter medications and acetone alcohol in the mirror cabinet in the resident room which was not locked and accessible to the resident R1. Staff S1 stated R1 was on the facility medication management program and facility staff administered medications to R1. Based on review of R1's LIC 602A Physician's Report dated 2/22/2024, R1 is diagnosed with Dementia. During visit, facility staff removed the items and placed them in a locked cabinet in the resident's room.
During inspection on 9/13/2024, in resident room #2, LPAs observed 1 bottle of 19 oz Lysol disinfectant spray and 1 bottle of 91% isopropyl alcohol located on top of the bathroom sink which was not locked and accessible to resident R2. Based on review of R1's LIC 602A Physician's Report dated 9/3/2024, R1 is diagnosed with Dementia. During visit, staff S1 removed the item and placed them in a locked cabinet.
During inspection on 9/13/2024, in resident room #1, LPAs observed 2 multi-purpose scissors located in the bathroom and in the sitting area in the bedroom. Based on review of R1's LIC 602A Physician's Report dated 2/22/2024, R1 is diagnosed with Dementia. During visit, staff S1 removed the 2 scissors and placed them in a locked cabinet in the resident's room.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction